| NPI | 1629262811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN A MECKSTROTH President/CEO 239-287-9481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1283) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2008-04-22 |